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IL HB4941

Bill

Status

Passed

5/27/2022

Primary Sponsor

Theresa Mah

Click for details

Origin

House of Representatives

102nd General Assembly

AI Summary

  • Health care professionals and providers must be given at least 30 days to review contracts offered by insurers, HMOs, IPAs, or physician hospital organizations before signing.

  • Insurers and health plans must provide contract-related information within 35 days of written request, including specialty-specific fee schedule samples (based on top 50 volume codes), network provider manuals, and capitation schedules if applicable.

  • Beginning January 1, 2023, insurers must provide at least 60 days advance notice before implementing nonroutine fee schedule changes, and this right to advance notice cannot be waived by health care providers.

  • Fee schedules, capitation schedules, and network manuals are protected as trade secrets under the Illinois Trade Secrets Act and can only be disclosed on a need-to-know basis or by valid court order.

  • Upon contract termination and patient request, health care providers must transfer copies of patient medical records, with copying costs assigned per the contract terms.

Legislative Description

INS CD-CONTRACTING PROCEDURES

Last Action

Public Act . . . . . . . . . 102-0957

5/27/2022

Committee Referrals

Rules4/3/2022
Insurance3/28/2022
Assignments3/24/2022
Insurance3/16/2022
Assignments3/7/2022
Insurance3/2/2022
Rules3/1/2022
Insurance2/9/2022
Rules1/27/2022

Full Bill Text

No bill text available